Generally, when we look at the data and see that the ratio between progesterone and egg is more than 2.5 or higher, we consider the tendency of polycystic ovary, and the male hormone, that is, testosterone, is high, but testosterone is not high. High counts, low estrogen, and weak ovaries cause irregular menstruation and low menstrual flow. So how can six hormone tests be used to diagnose polycystic ovary? Six hormones to see polycystic ovary In clinical medicine, if the patient has menstrual disorders and the main symptoms of Kaohsiung, Taiwan, including excessive hair growth and acne, six sex hormone tests are often performed. The most important thing is to see a significant increase in the level of male hormones. If it increases, it is considered to be closely related to polycystic ovary syndrome. Because when diagnosing polycystic ovary syndrome, one of the criteria is menstrual disorder, mainly referring to anovulation. The second characteristic is the manifestation of hyperandrogenism, including acne, excessive hair growth, or the so-called hyperandrogenuria, that is, the level of male hormones is elevated, mainly the level of testosterone. Therefore, the presence of polycystic ovary syndrome can be diagnosed based on the testosterone level. In addition, in the six hormone tests, other causes of anovulation should be eliminated. For example, elevated prolactin levels may cause anovulation. You can also use the LH and FHS ratio as a reference. Although it is not a diagnostic criterion, it can be used as a reference indicator to consider whether there is a possibility of polycystic ovary syndrome. Some other factors that cause menstrual disorders, such as estrogen levels, including progesterone levels, whether there is ovulation, etc., can be used to comprehensively judge whether the patient has polycystic ovary syndrome. The purpose of PCOS treatment is mainly to establish a normal menstrual cycle with ovulation and restore fertility. Once a normal menstrual cycle is established, pregnancy can occur and the uterus and ovaries no longer produce excessive male hormones. Clomiphene is the preferred treatment for PCOS. Clomiphene can induce the hypothalamus-pituitary gland to release gonadotropin, which in turn promotes the pituitary gland to release follicle-stimulating hormone, promoting the normal growth and development of eggs. During the follicular phase, each hospital uses different test reagents and the measured values also have errors. Combined with disease diagnosis experience, determine whether it is polycystic ovary. Irregular menstruation is also a manifestation of PCOS. Drugs can offset the effects of male hormones and promote ovulation. The use of contraceptive pills can also regulate the menstrual cycle. It usually takes 3-6 months to test the female hormone level. If the test is normal, you can stop taking the medicine. Laparoscopy may also be considered. Under laparoscopy, the surgical puncture of the eggs can be used to reduce the level of testosterone and achieve the overall treatment goal. The prognosis is generally maintenance of weight, preferably with a low-fat diet. It is recommended to go to the hospital outpatient department to analyze the reasons for termination of pregnancy and communicate patiently with the doctor. If pregnancy is affected, an effective and reasonable abortion concept should be established during pregnancy; if you cannot get pregnant, for example, if polycystic ovary cysts are anovulatory or the eggs are immature, and the resulting test tube embryos are not good, you should develop an ovulation medication treatment plan. If you have abnormal sperm or genetic problems, you should address them purposefully. |
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